41. Innocent, Physiological & Functional Heart Murmurs Innocent heart murmurs result from turbulence in blood flow that s of no significance. Innocent, Physiological Functional Heart murmurs. What is it? http://www.americanheart.org/presenter.jhtml?identifier=170

42. McGill Virtual Stethoscope Project Listen to heart sounds, murmurs, breath sounds, and visualize them with spectra and shockwave animations. http://sprojects.mmi.mcgill.ca/mvs/mvsteth.htm

Sorry, You are using an incompatible browser which does not support frames. You need Microsoft Internet Explorer 4.0 or or better to properly view the McGill Virtual Stethoscope. Older browsers are not guaranteed to be able to play sounds or Shockwave animations. Requirements also include a sound card and speakers or headphones, and Apple's Quicktime plugin and Macromedia's Shockwave plugin. The minimum system requirements are usually met by a multimedia-compliant Intel-486 based PC (66MHz, 24MB RAM) machine running Windows 95 with Direct-X 6.0, or a 68030-based Macintosh running System 7 with 16MB RAM. It is also recommended, but not necessary, that your computer support 800x600 resolution and 16-bit color (>32,000 colors, possible with 1 or 2MB of video card RAM).

43. Heart Murmurs In Pediatric Patients: When Do You Refer? - August 1999 - American August 1999 AFP. Heart murmurs in Pediatric Patients When Do You Refer? MICHAEL E. MCCONNELL, MD murmurs. Systolic murmurs have only http://www.aafp.org/afp/990800ap/558.html

Advanced Search Heart Murmurs in Pediatric Patients: When Do You Refer? MICHAEL E. MCCONNELL, M.D., SAMUEL B. ADKINS III, M.D., and DAVID W. HANNON, M.D. East Carolina University School of Medicine Greenville, North Carolina A patient information handout on heart murmurs in children, written by the authors of this article, is provided on page 565. Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ventricular septal defects, pulmonary or aortic outflow tract abnormalities, and patent ductus arteriosus. An atrial septal defect is often confused with a functional murmur, but the conditions can usually be differentiated based on specific physical findings. Characteristics of pathologic murmurs include a sound level of grade 3 or louder, a diastolic murmur or an increase in intensity when the patient is standing. Most children with any of these findings should be referred to a pediatric cardiologist. (Am Fam Physician 1999;60:558-65.) P rimary care physicians frequently encounter children with heart murmurs.

44. Heart Murmurs In Children--What Parents Should Know - August 1999 - American Aca An article on this topic is available in this issue of AFP. Heart murmurs in ChildrenWhat Parents Should Know. Many healthy people have heart murmurs. http://www.aafp.org/afp/990800ap/990800f.html

Advanced Search Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org , the AAFP patient education Web site. An article on this topic is available in this issue of AFP Heart Murmurs in ChildrenWhat Parents Should Know What is a heart murmur? A heart murmur is just a noise that the blood makes as it flows through the heart. It's like the noise water makes when it flows through a hose. Many healthy people have heart murmurs. About 80 percent of all children have a heart murmur at some time. What is a "normal" heart murmur? Most heart murmurs don't mean there is anything wrong. Your doctor may call these murmurs "innocent" or "functional." "Normal" is another word to describe these murmurs. A normal murmur is just a noise caused by blood flowing through a normal heart. A normal murmur can get louder when the blood flows faster through the heart. For example, when the body's temperature goes up, the blood flows faster. Doctors often hear heart murmurs when they check children who have a fever. Many normal murmurs become hard to hear as children grow older. Some murmurs just go away.

45. Children's Heart Institute | What Is A Heart Murmur? Among some of the topics discussed are, causes of innocent and noninnocent murmurs and physical signs present. Audio to experience the different sounds. http://childrenheartinstitute.org/educate/murmur/murmur.htm

What is a Heart Murmur? Causes Innocent vs. Not-Innocent Physical Signs Common Questions ... Plan of Action What is a Heart Murmur A heart murmur is a swishing or a whistling sound that the doctor hears when he listens to your child's heart with a stethoscope. The heart beat normally makes two sounds: the first is Lub and the second is Dub , these two sounds follow each other ( Lub Dub ) and are not separated by any extra sounds. A heart murmur will be heard as a swishing or a whistling sound in addition to the normal Lub-Dub sound. The moving blood sounds like the running water in your garden hose. A heart murmur may indicate that there is a heart problem or may be due to normal blood flow. A heart murmur is not a diagnosis or disease, it is a sign to alert our attention to check if there is anything wrong. Most of the time heart murmurs are normal and do not indicate that there is anything wrong with the heart. However, sometimes they may result from a hole in the heart or a narrowed valve. A hole in the hose allows water to squirt out producing a whistling sound.

46. Dinker Charak - 'The Murmurs Of The Dawn' The murmurs of the Dawn. I once heard the boatman say there are rocks even deep inside the river. Recommend The murmurs of the Dawn to a Friend http://dinkercharak.com/motd/

welcome to home site map contact discuss dinker charak online writings computers management travel ... the murmurs of the dawn The Murmurs of the Dawn I once heard the boatman say there are rocks even deep inside the river. I guess there are rocks everywhere. Wonder if there is a rock inside me too? They are surely not in my mind or else my mind wouldn't have been so free. I know my mind can wander more than anyone's in the village. Many people are jealous of me because of this and that is why they don't talk to me. They look at me from the corner of their eyes, pretending as if they are not looking at me. - 'The Boat Ride' "The clouds weep on my chest. The rivers bring with them the leftovers of human greed. The sun burns on me head, but still I don't run dry. The human pierce me arrows of hunger and kill my children. But did you ever hear me complain? Ask all you need and I will provide it. I am here to fulfill your need." - 'The Ocean and She' Format: Paperback Size: 6" x 9" Pages: ISBN: Pub. Date: March 2003 Publisher: Authors Choice Press Deeply rooted in Indian philosophy, perplexing, soaring in imagination, wonderfully improbable, intelligently abstruse...

47. Innocent Murmurs Details on characteristics of murmurs, supraclavicular systolic murmurs and innocent continuous murmurs. http://home.coqui.net/myrna/murmur.htm

What makes a Heart Murmur Innocent? HOW TO DESCRIBE A MURMUR. The table below describes 10 characteristics that can be described regarding each heart murmur. Most problems arise when trying to describe the shape: judge variation of intensity of the murmur; it may build-up(crescendo), rise and then fall (crescendo-decrescendo), decrease from a loud onset (decrescendo), or remain relatively constant (plateau). Murmur Descriptions Timing Locations Intensity Duration Frequency Shape Quality Radiation Effect of Respiration Response to Intervention INNOCENT MURMURS. SUPRACLAVICULAR SYSTOLIC MURMUR. This murmur begins after the first heart sound and is best heard underneath the right clavicle. The murmur generally is grade II but can be grade III and usually is of short duration, occupying less than one half of systole. Murmur frequency is low and is diamond shaped with a somewhat noisy quality. The murmur radiates towards the neck particularly on the right. Respiration has no effect. The murmur intensity decreases significantly when the child sits with the shoulders hyperextended by bringing the arms behind the patient. This murmur is caused by turbulence in the major brachiocephalic arteries as these vessels arise from the aorta. Differential diagnosis is seldom a problem; the murmur of aortic valve stenosis may come to mind, but can easily be distinguished by its specific characteristics as well as the presence of an aortic ejection sound. INNOCENT CONTINUOUS MURMUR.

48. Murmurs From The Porcelain Throne blog*spot, murmurs from the Porcelain Throne. Confusion is nothing but a state of mind. http://madmurmurer.blogspot.com/

Murmurs from the Porcelain Throne The soul of man is like the rolling world, One half in day, the other dipt in night; The one has music and the flying cloud, The other, silence and the wakeful stars. Alexander Smith 1830-1867 About Me Name: Darrell Brueckner Location: California, United States View my complete profile Jaybird Song of the Soul Merry-Go-Round Revisited ... Angels Saturday, May 29, 2004 Jaybird Jaybird as his closest friends called him was introduced to me as my stepfather, however long before his passing he had simply become my dad. I am visiting my mom this weekend and we were going through some old papers and I came across the two pieces I wrote for his funeral. He passed away twenty-four years ago on June 8, 1987 In the beginning He was that man My new father Who I couldn't understand He seemed distant And far away Sometimes I wished He would not stay But as the years went by I came to understand Who he was What kind of man He was strong He was proud He always stood And spoke out loud He loved people In return they loved him Where ever he traveled He made friends He loved to laugh He loved to dance With him my mom Found love and romance He loved his children And their kids He was always brave Until the end Through him I became a man Now I think I understand The laughter and joy The pain and the sorrow That we live with today And can expect tomorrow I learned to live Life to the fullest Though I feel I can say it best I loved my dad He was the best He was born Jay Ray Hunter on May 23, 1927 in Amarillo, Texas. Jay graduated high school in 1944 and enlisted in the US Navy. He was stationed in the South Pacific where he served through the end of World War II.

49. The Auscultation Assistant Audio to differentiate the characteristics of heart murmurs and discussion of the different types of murmurs. http://www.med.ucla.edu/wilkes/inex.htm

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50. Heart Murmurs In Children What Parents Should Know Heart murmurs in Children What Parents Should Know. Heart murmurs are common in children and are usually harmless. Return to top. http://familydoctor.org/x2058.xml

Advanced Search familydoctor.org Home Conditions A to Z Heart Murmurs What is a heart murmur? What is an "innocent" or "functional" heart murmur? What does it mean if my child has an innocent heart murmur? When is a heart murmur the sign of a problem? Heart Murmurs in Children: What Parents Should Know Printer-friendly version Email this article What is a heart murmur? A heart murmur is a noise that the blood makes as it flows through the heart. It's like the noise water makes when it flows through a hose. Heart murmurs are common in children and are usually harmless. Return to top What is an "innocent" or "functional" heart murmur? Heart murmurs usually don't mean there is anything wrong with your child's heart. Your doctor may call these murmurs "innocent" or "functional." An innocent murmur is just a noise caused by blood flowing through a normal heart. These noises are commonly heard in children because their hearts are very close to their chest walls. An innocent murmur can get louder or softer depending on your child's heart rate, such as when they're excited or scared. Doctors often hear heart murmurs when they check children who have a fever. Many innocent murmurs become hard to hear as children grow older and most usually go away on their own. Return to top What does it mean if my child has an innocent heart murmur?

51. Pediatric Heart Sounds And Murmurs From a medical point of view covers topics such as taking of patient history, the examination, auscultation, and innocent murmurs. http://gucfm.georgetown.edu/welchjj/netscut/cardiology/heartsounds.html

Pediatric Heart Sounds and Murmurs Workup of Murmur History Pregnancy Infection: rubella during the first trimester, also CMV, herpes, coxsackievirus B Drugs: medicals, alcohol, smoking Illness: IDM (associated with transposition of the great arteries), maternal SLE, maternal cardiac disease Genetic: Marfan, Holt-Oram, Downs (Trisomy 21), Turner Syndromes Prematurity: associated with PDAs Birth Cyanosis, resucitation, murmur at birth Growth and Development Failure to gain weight Feeding problems (fatigue and shortness of breath): feedings take a long time "Does not gain weight or grow like others" "Breathes heavily", tachypnea, dyspnea "Cannot keep up", decreased exercise tolerance Cyanosis Anoxic spells: crying, then SOB, cyanosis, unconsciousness or seizures, consider Tetrology of Fallot (need to distinguish from breath-holding spells) Squatting when tired (also, common in TOF) Eyelid edema (ankle edema is rare) Lower respiratory tract infection Murmur, when was it first heard? with febrile illness? history of pharyngitis? Chest pain Uncommon in children AS: pain during activity Obstructed pulmonary vessels or mitral valve prolapse: pain without activity Severe pulmonary valve stenosis: pericarditis; Kawasaki disease

52. Busy Builders Gerard Martin, M.D. discusses issues of your child's heart murmur, including innocent and pathological murmurs and testing. http://www.washingtonparent.com/articles/9812/murmurs.htm

Washington Parent Magazine The Meaning of Murmurs Gerard Martin, M.D. Your pediatrician tells you that your child has a heart murmur. You react with fear and surprise and are quick to ask, "What does this mean and is my child in danger?" This can be a very frightening situation for new parents because they believe a heart murmur is a sign of a very serious condition. However, about 90 percent of normal children in the first five years of life are noted to have murmurs. A heart murmur is simply an extra sound that the heart makes. A normal beating heart makes two distinct sounds. The first sound, or the "lub", occurs when the valves between the upper (atria) and lower (ventricles) chambers close. These valves close after the ventricles fill with blood and begin to contract. The second sound, or the "dub", occurs when the valves between the ventricles and major arteries close. These valves close after the ventricles have finished pumping. A murmur is a sound made by turbulent blood flow and is heard between the other, normal heart sounds. Murmurs can be innocent, normal sounds or pathologic, abnormal sounds. I usually tell parents to think of murmurs as the sound of water flowing through pipes after the faucet is turned on. The sound may be a normal flow, a leaky faucet or a blocked faucet.

53. VH1.com The Murmurs Artist Main VH1.com presents complete artist information on The murmurs, including news, bio, message boards, song clips and more. Artist Main The murmurs. Biography. http://www.vh1.com/artists/az/murmurs_the/artist.jhtml

54. Common Heart Sounds Fred Leong M.D looks at common heart sounds and murmurs in infants, innocent murmurs, pathologic murmurs, and diastolic continuous murmurs. Audio as well to hear the heart sounds. http://www.rain.org/~landon/Heartweb/index.html

Prepared by: Fred Leong M.D. Pediatric Cardiogist for the Pediatric Diagnostic Center For Patients, Parents, and Professionals To contact us: Landon Pediatric Foundation 3400 Loma Vista Road Suite 1 Ventura, Cal;ifornia landon@rain.org

55. Industry Murmurs Industry murmurs. What emerging technologies are people starting to buzz over? We take a look at three. By Beth Schultz Network World, 09/29/03. http://www.nwfusion.com/buzz/2003/0929signoff.html

CheckMessage('http://www.nwfusion.com/auddev/pop/FOC163.html','topic','67123809**Jun 02 2004','Jun 02, 2009','/','www.nwfusion.com'); var outerref = new String("(none)"); var nwchannel = 'cn'; bannersrc = "http://ad.doubleclick.net/adi/idg.us.nwf.applications/;pos=top;sz=728x90;tile=1;type=indepth;ord=075037?"; Search / Docfinder: Advanced search Help Site map RESEARCH CENTERS Applications Careers Convergence Data Center ... Wireless/Mobile SITE RESOURCES Daily News Newsletters This Week in NW Tests/Reviews ... More TODAY'S NEWS Cisco details strategy for Catalyst Firewall Services Module and anti-DDoS gear Sun, Netegrity beef up identity offerings Sun to open source Solaris Vendors tout WiMax potential ... More breaking news Industry murmurs What emerging technologies are people starting to buzz over? We take a look at three. By Beth Schultz Network World, 09/29/03 40G Ethernet, or beyond Route management XML switching appliances 40G Ethernet, or beyond So 10G Ethernet , standardized 15 months ago, is seeing but a whisper of deployment in enterprise networks, and even less than that in carrier networks. But that's not stopping industry watchers from speculating on what speed to take the venerable LAN standard to next. Advertisement: imusrc = "http://ad.doubleclick.net/adi/idg.us.nwf.applications/;pos=imu;sz=336x280;tile=4;type=indepth;ord=075037?";

56. SchoolNurse.com An article examining how a young patient should be diagnosed and observed for detection heart murmurs. Whether to tell the parents or when to record it in the medical records is discussed. http://www.schoolnurse.com/med_info/murmurs.html

Heart murmurs: Which are innocent? Many children have a heart murmur, especially during febrile illness. Most of these are "innocent", or "functional" murmurs, but some are caused by organic heart defects that are asymptomatic. When a heart murmur is detected during routine physical exam, a careful review of the child's appearance and history often provides clues about the murmur's significance. The classical innocent murmur is the vibratory systolic murmur referred to as Still's murmur. It is soft and of low frequency with a somewhat musical quality, like plucking a string or rubber band. This murmur is of short duration and occurs between the two heart sounds (mid-systole) and is often referred to as "physiologic", or "not significant." Other innocent murmurs are soft, quiet and "blowing" in character. Innocent murmurs often come and go. Also they may disappear if the child sits up or lies down. Once a murmur is discovered, (provided it's not a classical Still's murmur), observation of the child is important, along with noting vital signs. Is the color of mucous membranes and nailbeds pink or dusky (cyanotic)? Is exercise intolerance present? By history, have there been syncopal episodes or palpitations? All these findings suggest an organic murmur.

57. Pediatric Cardiology murmurs are not always significant. – they may be normal or innocent. Innocent murmurs are usually found incidentally during a physical exam. http://www.ucch.org/sections/cardio/new/heartmurmur.html

Sections/Specialties Palos Heights Merrillville La Rabida [Return to main] Heart Murmur What is a heart murmur? A heart murmur is the sound of blood flow in the chest heard with the stethoscope. If it is heard elsewhere, it is called a bruit. It does not necessarily mean there is an abnormality, just that it is detected. (Similar to hearing water going through a pipe – you hear it – and just because you hear it does not mean it is abnormal). The term "murmur" should not be confused with the term "abnormal murmur" just as the word "temperature" should not be confused with the term "fever". However, people mistakenly use both terms interchangeably. Murmurs are not always significant. – they may be normal or innocent . Innocent murmurs are usually found incidentally during a physical exam. They require no further evaluation. Pathologic murmurs are due to abnormal blood flow, usually as a result of a cardiac abnormality. These ought to be referred to a pediatric cardiologist (even prior to testing to avoid duplication and the improper performance of tests). How does it occur?

58. Cardiology Heart Sounds Wave Files Audio for numerous heart sounds and heart murmurs. http://www.bcm.tmc.edu/class2000/sims/HeartSounds.html

59. Listen To Heart Murmurs / Review Interactive Case Studies murmurs / Review Interactive Case Studies. Cardiac Auscultation of Heart murmurs / CD go to previous item go up a section go to next item. http://egeneralmedical.com/egeneralmedical/listohearmur.html

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60. SETON.net HEALTH. CARE. MADE SIMPLER. An article discussing heart murmurs in children with two doctors. Topics covered were some causes and treatment. http://www.goodhealth.com/gh_mag/febmar98/murmurs.html

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